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2
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Brain Behav Immun. 2020 Oct;89:531-542. doi: 10.1016/j.bbi.2020.05.048. Epub 2020 May 30.
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Excess mortality from COVID-19: a commentary on the Italian experience.新冠疫情导致的超额死亡率:对意大利经验的评论
Int J Public Health. 2020 Jun;65(5):529-531. doi: 10.1007/s00038-020-01399-y. Epub 2020 May 28.
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Implications of SARS-CoV-2 Infection and COVID-19 Crisis on Clinical Cancer Care: Report of the University Cancer Center Hamburg.严重急性呼吸综合征冠状病毒 2 感染和 COVID-19 危机对临床癌症治疗的影响:汉堡大学癌症中心的报告。
Oncol Res Treat. 2020;43(6):307-313. doi: 10.1159/000508272. Epub 2020 May 7.
6
The experience on coronavirus disease 2019 and cancer from an oncology hub institution in Milan, Lombardy Region.米兰伦巴第大区肿瘤学中心关于 2019 年冠状病毒病和癌症的经验。
Eur J Cancer. 2020 Jun;132:199-206. doi: 10.1016/j.ejca.2020.04.017. Epub 2020 Apr 29.
7
Ethics and Resource Scarcity: ASCO Recommendations for the Oncology Community During the COVID-19 Pandemic.伦理与资源稀缺:美国临床肿瘤学会针对新冠疫情期间肿瘤学界的建议
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COVID-19 大流行期间医疗保健提供者的倦怠:关注肿瘤内科医生。

Burnout of health care providers during the COVID-19 pandemic: Focus on Medical Oncologists.

机构信息

Division of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, Via Elio Chianesi, 00144 Rome, Italy.

Scientific Direction, IRCCS Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144 Rome, Italy.

出版信息

Int J Med Sci. 2021 Mar 26;18(10):2235-2238. doi: 10.7150/ijms.54025. eCollection 2021.

DOI:10.7150/ijms.54025
PMID:33859532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8040416/
Abstract

The spread of the coronavirus disease 2019 (Covid-19) has challenged hard the national health system worldwide. At any level, the role of health care providers has been rapidly revisited and eventually modified to face the pandemic. The search of the balance between the provision of the most appropriate health-related services and safety of both patients and health care providers has become an indisputable necessity. The consequently increased work load, along with a widespread feeling of intellectual isolation, emotional overload, sense of inadequacy for involvement in tasks and disciplines which are not always familiar have all been proposed as factors related to the onset and/or worsening of the burnout phenomenon. This latter is sadly renown among care givers and is particularly common among medical oncologists. We herein share our perspectives on the burnout phenomenon over the course of the Covid-19 pandemic, with a specific focus on medical oncologists. Results from the most recent and inherent studies are presented and commented in light of hints provided by the experience matured by a quite restricted, still potentially representative, number of professionals figures from the medical oncologists' category. Reasons are proposed to explain the sense of inadequacy currently perceived in relation to the limits imposed by the current pandemic. In more detail, we illustrate the nature and extents of some of the most relevant difficulties in the optimal management of cancer patients and constant efforts towards the scientific upgrade which allows for the improvement of the professional performance. The need for a deeper understanding of the roots and consequences of the Covid-19 pandemic on the mental health of medical oncologists is finally stressed.

摘要

2019 年冠状病毒病(COVID-19)的传播对全球各国的卫生系统构成了严峻挑战。在任何层面上,医疗保健提供者的角色都在迅速重新审视,并最终进行修改以应对这一流行病。在提供最合适的医疗相关服务与确保患者和医疗保健提供者安全之间寻求平衡已成为当务之急。由此增加的工作量,以及普遍存在的孤立感、情绪过载、对参与不熟悉的任务和学科的不适应感,都被认为是与倦怠现象的发生和/或恶化有关的因素。倦怠现象在护理人员中广为人知,在肿瘤内科医生中尤为常见。在此,我们分享了在 COVID-19 大流行期间对倦怠现象的看法,特别关注肿瘤内科医生。根据最近的内在研究结果,并结合来自医学肿瘤学家这一特定领域的少数、但具有代表性的专业人士的经验提示进行了评论。提出了一些原因来解释当前与当前大流行所施加的限制有关的不适应感。更详细地说,我们说明了在癌症患者的最佳管理和不断进行科学升级方面遇到的一些最相关困难的性质和程度,这有助于提高专业表现。最后强调了需要更深入地了解 COVID-19 大流行对肿瘤内科医生心理健康的根源和后果。